Foreign body in bladder

Case contributed by Vijay Mistry
Diagnosis certain

Presentation

Dysuria

Patient Data

Age: 70 years
Gender: Male
x-ray

There is a radio-opaque cylindrical (max 2.8 x 9 mm) foreign body projecting over the midline pelvis, in the expected region of the urinary bladder.  There also appears to be a relatively radiolucent tubular structure extending inferolaterally rightward from the radio-opaque foreign body, which may represent catheter tubing.

Case Discussion

The patient underwent cytoscopy and removal of the foreign body. The bladder was large with moderate trabeculation and few diverticulae. A 5 cm catheter with metal round tip and straight edge was successfully retrieved.

The patient continues to intermittently self-catheterize.

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